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Home My WebLink About2013-00829 - roofing CITY OF ORONO * 2 0 1 3 - PJ 0 8 2 9 * i ' 2750 KELLEY PARKWAY DATE ISSUED: 08/2U2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3315 CRYSTAL BAY RD PIN : 17-117-23-41-0017 LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-ASPHALT ACTIVITY ; O/S BUILDING - UNDEFINED VALUATION : $ 21,000.00 NO"TE: VALUA"I�ION O1�PI:I2M1T: $21000.00 STORM DAMAGE-PARTI�L REROOF-SIDING-SOFFIT-DECK RAILING ROOP[NG PERM["1'S [SSUF,D WITHOUT ENOUGH NOTICE FOR"1'EAR OFF INSPEC"I'IONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO WORK BEING STAR"CED) MUS"1�PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECT]ON MAY NOT BE ISSUED. SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOP IS BEING DONE. ONCE WORK IS COMPLETF,D'CHF,SIGNS MUST BE REMOVED. APPLICANT PERM[T FEE SCHEDULE 354.00 BULLDOG CONTRACTORS STATE St1RCHARGE(VALUATION) 10.50 3315 CRYSTAL BAY ROAD EDINA, MN 55435- TOTAL 364.50 (651)238-2760 PAID WITH CC# 9099 Minnesota State License#: BC639635 OWNER OLSEN, DALE&JONMARI 3315 CRYSTAL BAY RD WAYZATA, MN 55391- AGREEMENT AND SWORN STATEMENT I�he�+�ork for which this permit is issued shall be performed according to [he approved plans and specifications,applicable City approvals,and thc State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing lhis type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of� 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be r ed any tim f r du ause. � �/ � Z� � � � U l� l �� an e mitce ignature Date Iss By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. City of Orono '�uilding Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) �O�O Mailing Address: Permit number: ��-�� /� PO Box 66 � / Crystal Bay, MN 55323-0066 Date received: ��v/ '� Street Address: Received by: y G� 2750 Kelley Parkway Plan revie ee: F t �, Orono, MN 55356 �k£SHO� Total Fe �j Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us �� ✓ This application form must be completed in full and all required information must be submitted. Incomplete appfications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: r<;;;s (y� ✓�ja� l� v C� Will this be a Parade of Homes, Rem delers Show ase ome or other Display Home? ❑ Yes �No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: o �-v v� T rU•C�b� � State License# L 6 Expiration Date: Zv ' Lead Certification Number: Expiration Date: (for work on homes that were constructed prior to 1978 Phone: (cell) (office) Mailing Address: pa �,•� .,� �� h �, 2� City: '�� ZIP: s� j — Contact Person: �� ,� Applicant is: ontractor Homeowner (Circle One) Email and/or Fax: /�X�z� � �Cj��Uj��u.�a<t�fs�l L ,�� '^'� PROPERTY OWNER INFORMATION: Name: �C�1� C?�S'� ✓1 Phone (day): 9S`Z —yUtl—�Z6/ Address: ��6 f �� City:�� ,,� ZIP: s sj� Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project: Any earth movement may also require ❑ Door(s) ❑ Remodel ❑ Fire Damage MCWD review&permits: �Re-roof,asphalt ❑ Repair �orm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑ Re-roof, cedar ❑ Re toration ❑Water Damage Deephaven, MN 55391 ❑ Re-roof, other(specify) Siding Dlue , ❑ Other: (specify) Phone: 952-471-0590 f �s��v� , Fax: 952-471-0682 ❑Window(s� ��c�r-a;,;Nn i�rL�� www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 2 J,�c�U APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative but to reject it until it is complete; • Some or all of the information that you are asked to provide on this application is classified by State law as either private or confidential. Private data is information which generally cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other governmental agencies required by law. If ou refuse to su I the'n ormation, e a lication ma not be issued. ApplicanYs Signature�' ..�1 Date: � � ZG/ 3 Owner's Signature: Date: Last Updated: 03/06/2013 DATE TIME `� CITY OF ORONO CA�LED IN INSPECTION OTI E SCHEDULED PERMIT NO. �� " �d a COMPLETED T�� ADDRESS 33j5 CTS'L� �2y .�cll , �. OWNER TELEPHONE NO. CONTRACTOR B�s�� C�.+�►'��o!S � DESCRIPTION R �' �Ud� � � ❑ FOOTiNG ❑ PLUM8ING FINAL ❑ EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y O FRAMING ❑ MECHANICAL FINAL � ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT Q ❑ DEMO-SITE ❑ SEPTIC MAINT. �EOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL v O PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL 2 OWNERICONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: D��w�.•Z' �t o�e.- ��le� '� �'��' {��- � � . a �ia.�G �i15,m�c��. � � O '' /lo �� - o�'� irr s�Qc�ro 1 r'�'o�� 0 W tfo�L S e � �e�/j�� 4!t�SZ� /��tS�.'�,�/'QT_ � Q 2 I��•� !/e.,�� `�cx, �9�'o r.��a�t� � k Jo f K �tD DeE�f �b.,v� /JIaT�P � ,Ae r re�L �'.t�/� J a W� ❑WORKSATISFACTORY:PROCEED �ROJECT COMPLEfE W ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REtNSPECTION TEMPORARY � BEFORE COVERING PERMANENT ❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN INSPECTOR WILL REfURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED ❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContractor on site: Inspector. � White Copyflnspector's File Canary CopylSite Notice q/��D�A�E �� TI M E � CITY OF ORONO CALLED IN � INSPECTION TICE CHEDULED 3 PERMIT NO. ��3—UU��OMPI TED ADDRESS � OWNER TELEP NE O. 2 �� CONTRACTOR �; DESCRIPTION � � ll� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING � ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS � O ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS � ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT J ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP _ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a k � O � � O � W � Q � Z W � W � � GW Of�WORKSATISFACTORY:PROCEED [� PROJECTCOMPLETE � ❑CORRECT WORK&PROCEED r ISSUE CERTIFICATE OF OCCUPANCY W O ❑ CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORE COVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITNIN HOURS. ❑ pHOTO TAKEN INSPECTOR WFLL RETItRN � CITATION ISSUED ❑ STOP ORDER POSTED.CALL INSPECTOR � INSPECTION REQUIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. �95Z� Z49-46�� OwnerlContractor on site: Inspector. . / White Copyllnspector's File Canary CopylSite Notice